간접 골성 고정원을 이용한 골격성 III급 부정교합의 절충 치험례

Class III nonsurgical treatment using indirect skeletal anchorage: A case report

  • Choi, Jun-Young (Division of Orthodontics, Department of Dentistry, Ewha Womans University Mokdong Hospital) ;
  • Lim, Won-Hee (Department of Orthodontics, School of Dentistry, Seoul National University) ;
  • Chun, Youn-Sic (Division of Orthodontics, Department of Dentistry, Ewha Womans University Mokdong Hospital)
  • 발행 : 2008.02.28

초록

성인에서의 골격성 III급 부정교합의 치료의 원칙은 하악골의 후방이동을 동반한 수술적 교정치료이나, 다양한 문제로 인해 수술적 방법을 선택하기 어렵고 부조화의 정도가 심하지 않은 환자의 경우 비수술적 절충 치료를 선택할 수 있다. 비수술적 절충치료를 시행하는 경우 교정치료의 한계와 치주적인 부분에 대한 주의가 필요하다. 본 교실에서는 간접 골성 고정원을 이용하여 성인에서의 골격성 III급 부정교합을 비수술적으로 절충 치료 하였기에 보고하고자 한다.

Treatment of adult patients with Class III malocclusion frequently requires a combined orthodontic and surgical approach. However, if for various reasons, nonsurgical orthodontic treatment is chosen, a stable outcome requires careful consideration of the patient's biologic limitation. This case presents the orthodontic treatment of an adult with a Class III malocclusion, which was treated nonsurgically using indirect skeletal anchorage.

키워드

참고문헌

  1. Popp TW, Gooris CG, Schur JA. Nonsurgical treatment for a Class III dental relationship: A case report. Am J Orthod Dentofacial Orthop 1993;103:203-11 https://doi.org/10.1016/0889-5406(93)70001-5
  2. Proffit WR. Contemporary orthodontics. St Louis: Mosby; 1986. p. 200-207
  3. Stellzig-Eisenhauer A, Lux CJ, Schuster G. Treatment decision in adult patients with Class III malocclusion: orthodontic therapy or orthognathic surgery? Am J Orthod Dentofacial Orthop 2002;122:27-38 https://doi.org/10.1067/mod.2002.123632
  4. Graber TM. Orthodontics, principles and practice. Philadelphia: Saunders; 2005. p. 128-130
  5. Kanomi R. Mini-implant for orthodontic anchorage. J Clin Orthod 1997;31:763-7
  6. Costa A, Raffainil M, Melsen B. Miniscrews as orthodontic anchorage: A preliminary report. Int J Adult Orthodon Orthognath Surg 1998;13:201-9
  7. Park HS, Bae SM, Kyung HM, Sung JH. Micro-implant anchorage for treatment of skeletal Class I bialveolar protrusion. J Clin Orthod 2001;35:417-22
  8. Celenza F, Hochman M. Absolute anchorage in orthodontics: Direct and indirect implant-assisted modalities. J Clin Orthod 2000;34:397-402
  9. Jensen AC, Sinclair PM, Wolford LM. Soft tissue changes associated with double jaw surgery. Am J Orthod Dentofacial Orthop 1992;101:266-75 https://doi.org/10.1016/0889-5406(92)70096-S
  10. Enacar A, Taner T, Toroglu S. Analysis of soft tissue profile changes associated with mandibular setback and double-jaw surgeries. Int J Adult Orthodon Orthognath Surg 1999;14:27-35
  11. Chew MT. Soft tissue and hard tissue changes after bimaxillary surgery in Chinese class III patients. Angle Orthod 2005;75:959-63
  12. Bailey LT, Esmailnejad A, Almeida MA. Stability of the palatal rugae as landmarks for analysis of dental casts in extraction and nonextraction cases. Angle Orthod 1996;66:73-8
  13. Chang YJ, Lee HS, Chun YS. Microscrew anchorage for molar intrusion. J Clin Orthod 2004;38:325-30
  14. Yun SW, Lim WH, Chun YS. Molar control using indirect miniscrew anchorage. J Clin Orthod 2005;39:661-4
  15. Aldo G, Fabiana M, Francesca S, Claudio A. Miniscrew treatment of ectopic mandibular molars. J Clin Orthod 2003;37:380-3
  16. Park HS, Kyung HM, Sung JH. A simple method of molar uprighting with micro-implant anchorage. J Clin Orthod 2002;36:592-6
  17. Kyung SH, Choi JH, Park YC. Miniscrew anchorage used to protract lower second molars into first molar extraction sites. J Clin Orthod 2003;37:575-579
  18. Sam K, Rabie AB, King NM. Orthodontic intrusion of periodontally involved teeth. J Clin Orthod 2001;35:325-30
  19. Linge BO, Linge L. Apical root resorption in upper anterior teeth. Eur J Orthod 1983;5:173-83 https://doi.org/10.1093/ejo/5.3.173
  20. McFadden WM, Engstrom C, Engstrom H, Anholm JM. A study of the relationship between incisor intrusion and root shortening. Am J Orthod Dentofacial Orthop 1989;96:390-6 https://doi.org/10.1016/0889-5406(89)90323-5
  21. Costopoulos G, Nanda R. An evaluation of root resorption incident to orthodontic intrusion. Am J Orthod Dentofacial Orthop 1996;109:543-8 https://doi.org/10.1016/S0889-5406(96)70140-3